Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $103.90 / $1,245.00 / $7,362.00	Facility		$103.90	$1,245.00	$7,362.00
Medcost Facility/Professional Facility Modifier Low / Median / High Price $103.90 / $156.91 / $275.12	Facility		$103.90	$156.91	$275.12
United Facility/Professional Facility Modifier Low / Median / High Price $905.00 / $2,417.00 / $4,102.00	Facility		$905.00	$2,417.00	$4,102.00
Wellcare Facility/Professional Facility Modifier Low / Median / High Price $634.98 / $2,108.55 / $12,000.00	Facility		$634.98	$2,108.55	$12,000.00